Provider Demographics
NPI:1023432259
Name:TEMPLETON, CANDACE JOY (FNP)
Entity type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:JOY
Last Name:TEMPLETON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BRADFORD WAY STE 500
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-3126
Mailing Address - Country:US
Mailing Address - Phone:865-285-9588
Mailing Address - Fax:865-297-4188
Practice Address - Street 1:1000 BRADFORD WAY STE 500
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:TN
Practice Address - Zip Code:37763-3126
Practice Address - Country:US
Practice Address - Phone:865-285-9588
Practice Address - Fax:865-297-4188
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-07
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18310363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily